HomeMy WebLinkAbout116 Natsisky Farm RoadTO THE BUILDING INSPECTOR
of 16 APPLICATION FOR
TOWN OF SOUS WDOSM COW PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
ZONING A-30I• AT (LOCATION) / DISTRICT
LOCATION ISTR E
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
X fSUBDIVISIONMOUNTAINVIEWESTATES
LOT BLOCK LOT l00 r
II. TYPE AND COST OF BUILDING — All applicants complete Ports A — D
oA. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use M
m
1 ETNew building Reside tial Nonresidential2 Addition(1/ residential, enter number 12 EOne family 18 Amusement, recreationalofnewhousingunitsadded, iJ any,
in Part D, 13) 13 Two or more family — Enter 19 Church, other religious
3 Alteroti n (See 2 above)
number o/units— ——— 20 Industrial
14 E] Transient hotel,motel,4 Repair, replacement or dormitory — Enter number
21 Parking garage
5 Wrecking (1/multifamily residential, of units ——————— —.- 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, InstitutionalPartD, 13)
6 Moving (relocation)16 Carport 24 Office, bank, professional
7 Foundation only
17 Other — SpeciJy 25 Public utility
26 School, library, other educati na)
B. OWNERSHIP 27 Stores, mercontiI*
B JE Private(individual, corporation, 28 Tanks, towers
n nprofit institution, etc.) 29 Other - SpeciJy
9 Public(F deral, State, or
1 cal g vernment)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., f d
processing plant, machine shop, laundry building at hospital, elementary10. Cost f improvement................ 5 04 school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building of industrial plant.T be installed but not included If use of existing building is being changed, enter proposed use.in the above cost
a. Electrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT s Q
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Mas my(wall bearing) 40 0 Public or private company 48• Number of stories................
Q41 Private (septic tank,etc.) 49. Total31Wadframe square feet of floor area,
32 Structural steel all floors, based on exterior
dimensions ....'. .........•...
33 Rein( rced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company
O. Total land area, sq. ft. ........... l76-60
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Ericlosed .......................
35[Z Gas Will there be central air 52. Outd re........................
oil c nditi nirig?
L. RESIDENTIAL BUILDINGS ONLY37 Electricity 44 Yes 45[21N 53. Number f b dr am*..............38 C el
39'Oth r— Speci/y Will there be on elevator? Full..........54. Number of
46 Yes 47[a No bathrooms
Partial,.so....
IV. IDENTIFICATION — To be completed by all applicants
Name Moiling addr ss — Number. street. city. and State ZIP cod Tel. N
Dart Hill Realty Inc . 658 Ellington RoadOwneror
Lessee South Windsor.n
2. Same
Contractor
3.
Architect or
Engineer F T
The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature f applicant Address Applicati n ate
J7g
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plan Review Date Plans Date PlansPlansReviewRequiredCheckFeeStartedByApproved By Notes
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
DatePermitorApprovalCheckObDtainedNumberByPermitorApprovalCheckobtained Number By
BOILER 11 PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER
V
WRECKING
OTHER OTHER
VII. VALIDATION
Building
P rmit number
Building 1 y
P rmit issued f,3 19
Building
Permit Fee $
C_ o
App yed b
r
7iTLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date FPh_ 21 19 8 7
Fee Paid $.5 22 .0 0 Eat. Value $.8.7.,0 0 0
P` t N° 15644
vki f
on the side of
aSaIg
Street No. 1 1 6
Owner
App'cant Muriel Jacques
i
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.Rn9n
Fee Paid $ 3 - 10
C LAMIFICATION
Dwelling
BUILDING PERKY N`0 15644
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Feb. 23 107
94is is to Crrftfgt That Dart Hill Realty Inc.
is hereby granted permission to Dwelling
at estimated value of
on the side of Lot- #112 Natsisky Farm Road Sam on land
owned by Dart Hill Rwe1 tv Tne-_
Said Work to be as described in Application
No.156 d4 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
issued , 1187
elf'#.• 'p':.., r' - ( /'! '' ,'.
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
Dwelling - Lot #r112 Mtn.Vw.4 4/13/87
Georgel"Syl via Giguere
116 Natsisky Fain Road
Permit # 15734
Electrician (wides A t fZ6C611e,q)
Heating Contr.(--,o:C;U4-
Plumbing it G. Groudin 7320
Oil Burner
Certificate of Occupancy 3117Cof
Sewer Permit
Plot plan appd. per Engr .
ISPECTIONJIEPORT4 II
Permit # Job
1 Footing
2 Foundation
3 Framing
4 Wiring gLq`7 t
5 Plumbing
6 Heating G7Jr o
7 Lathing
8 C.O. 1 X7
I
I Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
I
I
I
I Permit NO 8090
I
I Certificate of Occupancy
I
I TH S O CE T FY at b
at No. in the T of South Windsor, Connecticut, has
I been erected and completfA in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
Building Inspector
Owner, Builder
e°C
Fee Paid Date 19
i
jl
Permit No. ` ' "
ti
I L—_: y TOWNF iOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit NO 8090
Certificate of Occupancy
I
I THIS ,S TO CE TIFY that
I at No. f r. s-• % in the T of South Windsor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South WindsorI and is hereby approved for occupancy.
I
Building Inspector
Owner, Builder r
Fee Paid Date 19
I
I
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
l j
I Permit 811 7
I
Certificate of Occupancy
E THIS/ S TO CERTIFY that the r,
r', in the T6Wn of South Windsor, Connecticut, hasatNo. ,I
been erected and completed in accordance wit' the B 'ldirg Code and Zoning Regulations of
I e fo Occupancy.
r
l the Town of South Windsor, and is hereby apprey c
j,
l
Bui ing Inspector
14OfF
Owner, Builder
l Fee Paid Date -
L6dlidL/LIV A. A..& vwarv.
r
Applicant Building Permit No.
Address Ar51s 1<-Y 1=197Ao" fZ Date Submitted 2
Lot No.y Reviewed by
Project Date
In accordance with the Subdivision Regulations , prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
0yy8i 7
1. Name , address & phone number of owner/
applicant.
2. Name Paddress & hone num
33 yerofplanpreparer.
r/ 3. Zoning information - i.e. zone pen spa e,
floodway, etc.
4 . Plot plan at 1" = 40 ' scale.
a. Subdivision reference, abutting
properties , etc.
v b. Easements of record.
c. Lot description, bearings, distances ,
building lines , area, etc.
d. Contours , existing & proposed, 1 or 2 ft
interval where appropriate.
e. Building location with dimensions .
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
f. Elevations of gravity drainage systems ,
sanitary & foundation drain at the
house and the street.
cam- g. Tentative utility location gas , electric
water, etc.
h. Title block with name and address of
Pre date appropriate certificationParer,
live seal and signature.
5 . Sedimentation and- erosion control.
6 . Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
P ZC
IWA/CC
WPCA
OTHERS
COMMENT S :
BUILDING PERMIT CHECK LIST
Applicant Building Permit No.
Address /, , Date Submitted
Lot No.7i Reviewed by
Project yiL,_n Date
In accordance with the Subdivision Regulations , prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
37
1. Name, address & phone number of owner/
applicant.
33 y
2. Name, address & phone num er of plan preparer.
3. Zoning information - i.e. zone pen spa e,
fl oodway, etc.
4 . Plot plan at 1" = 40 ' scale.
a. Subdivision reference, abutting
properties , etc.
r/ b. Easements of record.
c. Lot description, bearings , distances ,
building lines , area, etc.
d. Contours , existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions .
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
v f. Elevations of gravity drainage systems ,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric ,,
water, etc .
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5 . Sedimentation and- erosion control.
6 . Special Planning & Zoning, Inland/Wetlands
considerations . (Plans on file w/Town Clerk)
BUILDING DEPT.
P ZC
IWA/CC G
WPCA
OTHERS
COMMENTS :
BUILDING PERMIT CHECK LIST
Applicant '/Z- i3' Building Permit No.
Address Date Submitted z- -
Lot No. Reviewed by
Project Date 2--- / — 7
In accordance with the Subdivision Regulations , prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
r/ 1. Name , address & phone number of owner/
applicant. r ,
6. 2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, pperi sp_ac,
floodway, etc.
4 . Plot plan at 1" = 40 ' scale.
a. Subdivision reference, abutting
properties , etc.
b. Easements of record.
C. Lot description, bearings , distances ,
building lines, area, etc.
d. Contours , existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions .
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
f. Elevations of gravity drainage systems ,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas , electric ,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5 . Sedimentation and erosion control .
6 . Special Planning & Zoning, Inland/Wetlands
considerations . (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC
WPCA f/
OTHERS
COMMENTS :
r 0
TO THE BUILDING INSPECTOR
of APPLICATION FOR
TOWN OF SOUTH WINDSM COW PLAN EXAMINATION A N D
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.C
1161• AT (LOCATION)
1 ZONING
DISTRICT w3
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT (i BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 25 New building Residential Nonresidential
2 Addition(if residential, enter number 12ID One family 18 Amusement, recreational
of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number of units— — — — -->
3 Alteration (See 2 above)
20 Industrial
14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (1/multifamily residential,of units ——————— — -i 22 Service station, repair garage
enter number of units :n building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation)
17 Other — Specify 25 Public utility
7 Foundation only 26 School, library, other edueoti nal
B. OWNERSHIP 27 Stores, merconfile
28 Tanks, towers80Private(individual, corporation,
nonprofit institution, etc.) 29 Other — Specify
9 Public(Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detoil proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical......................Ad D
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT 3.DDO
111. SELECTED CHARACTERISTICS OF BUI DING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAG9 DISPOSAL J. DIMENSIONS
30 Masonry(wall bearing) 40 dPublic or private company
8 NumberTotal of stories
feet of floor •.•...
31.0 Wood frame 41 El4 .Private(septic tank, etc.)
r area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Oth r — Specify 42 Public or private company Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
35 Ef Gas Will there be central air 52. Outdoors.......................
conditioning36 Oil L. RESIDENTIAL BUILDINGS ONLY
37'EI ctricity 44 Yes 45 No 53. Number f b drooms.............
38 Cool
39 Oth '— Specify Will there be an elevator?
S4. Number f
Full..........
46 Yes 47 dN 0 bathrooms Partial.......
IV. IDENTIFICATION — To b compl ted by all applicants
Nam Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
2. er
Contractor
3.
Architect or
Engineer
The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signot re of appli ant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By NotesqFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check Date Number B Permit or A rova I Check Date Number ByppObtainedyppObtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number -
3
Bui Iding
Permit issued 3 19
Building yJ
Permit Fee
App b .
TIT
TOWN OF SOUTH WINDSOR
BUILDING PER Arr
Date April 13 19 87
Fee Paid $. 3 A.00 Eat. Value $. .5 3,0 0 0
Pern"t No 15734
on the side of
Lot #112 Natsisky Fm .Rd. Sweet
Street No. 116
Owner Charles/Sylvia Giguere
Applicant Sylvia Giguere
CERTIFICATE OF OCCUPANCY ISSUED:
Date J11 ne 21ET1987
No. 8117
Fee Paid $ 3 -0 0
CLASSIFICATION
Dwelling
BUIIDING PMZNWr N 15734
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. April 13 1987
454is is to (gerfify, .That Charles/Sylfria Giguere
is hereby granted permission to Dwelling
at estimated value of $53 t 0 0 0
on the side of Lot #112 Nats i skv Farm Road Street on land
owned by CharlealSyl A a Giguere
Said work to be as described in Application
No. 16 0 3 4 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iued j---AAr. 13 , , 1987
101
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all coats and damages which it shall sustain, or be compelled to reason therefor."
9697
ELECTRICAL APPLICATION
Application No.11904
on the side of
llfi NatsiskV -Rarin Rnad Lnt #112Straet
Street No.
Owner Georo PCj ailere
Electrician Mlles LaRochelle
FILED IN OFFICE OF
The Building Inspector
May 12 1987
INSPECTION.
m No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes. and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. .......ki]......._
Master License No. lQ..i...fir... ... ..........
TOWN OF SOUTH WINDSOR Building Permit No. ....1..73....................
BUILDING DEPARTMENT Date Filed ...........................................................................
Date Final Approval ............................................_.....
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
OB LOCATION. 1.. ./!......... Zr-....... .• OB OWNER. ...... .........................................................................................................J J
Sideof .. .. ... .. .............. .....Between ............and .......
Name of Building Owner(. J Address `7.?....1ua
If work is for Lessee—Give name ... Address ....................................._...........................................................
Building now occupied as (unless new No. of family units now ........ ...................
Building to be occupied as ...... .... .. Number of family units to be ..........i.....................
Is this work included in a Building Permit Permit Fee
If no Building Permit
Permittee Business Address / Telephone 1.
COSTOF INSTALLATION: rrZ SO d.• '...v......................................... ........................... ........................ I.......... ...... ........_ ..6../
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed dP ...... I
NrNumberofconvenienceoutletstobeinstalled . 'umber of present Appliance Circuits ..................................................
Number of switches to be installed . . . Do these include Range Water Heater Number of appliances to be installed
as listed below) Dryer Air Conditioner Oil Burner
TYPE RATING NO.
W L
Dish Washer Gas Burner
Range
Well Pump Elec. Heaters
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer . . . .
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan , , ,
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . .
Number of new Lighting Circuits
Number of new Appliance Circuits . . . ........... ............
Number of Heating Circuits
Number of Motor Circuits . . . . . . .
Size of present service ............
Size of service to be
7320
PLUMBING APPLICATION
App]ic tion INa 6988
on the......_.......__Aide of
116Natsisky Farm Rd. Lot #1 2
Street No. ....__..._
Owner .... P..d1L P And Sv1 vi a
Plumber ...G— rrm itl i n
Filed in Office of
The Bing Iarpecoor
May 8 19$L
INA-mrWNW.
No person"a oo Inn add w or abet my
portion of the drainage system of any bold6g
ezaept to repair leaks) uma a Pkrnnit is gtmeted
by the Building Ingmmr.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN SOUTH WINDSOR, CONN.
11. LOCATION OF JOB Ile z/A AJ19E5_4 'r.'__h>1
l
NO. SfREtTv F OOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE LO 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS_ 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? tS 27. SIZE OF WINDOW a 5xx 3
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATUR
f
ADDRESS o STB i1zr-K ha
LICENSE NO. 3 P d ESTIMATED COST TELEPHONE 4Cy k/ysR
low
OWNER Cal L`S I C E 1 ' ADDRESS 15 2 '/YD-mil ,
WATER HEATER
31. TYPE 42 APS n! 4690o e'(032. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 6 Q1 4:d 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE 38. MANUFACTURER
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
6-02`' F'q
CD962 DATE SIGNAYGRE OF APPLICANT
2f 3
PERMIT #
Application For c 7s
x 5 DEPARTMENT DECISION HeatingPermit
Cso3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
APPROVED DISAPPROVED
j TOWN OF SOUTH WINDSOR
O Cd
00 y DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TT ED. BEGIN WITH NUMBER ONE OIL
O
A
1. LOCATION OF JOB
w o
sv
NO. STREET
i
v
I LOT NO. FLOOR APT. NO.
OWNER
a
0° B. ADDRESS -7 7 1 A/1/
s.PHONE C
j S. APPLICANT
0o a
O g Is. ADDRESS C7 y 2,f, Y 7R
a goo C& S'Olf2 7.PHONE y
O .0
0 A LICENSE NO.
F w EXPIRATION DATE OF LICENSE r
O
5r 10. ESTIMATED COST S b U
8
t t. 18 THIS A CONTRACT COST? YES NO
be
12. FEE ENCLOSED $%A4 5'7.3
v
a 19. TYPE OF BUILDING:
RESIDENTIAL C MMENCIAL
O
a ts. TYPE F JOB: INDUSTRIAL
cc
RICINAL ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continu d from R verse Side)
11. LOCATI N OF JOB Z' U
NO. STREET Loon AFT.M
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
13 GAS BURNER STACK Cl INCINERATOR MISCELLANEOUS
10ENTI T
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO.CL&I-W —B.T.U. OR SO. FT. NET U L B.T.U. OR SO. FT. GROSSESCO FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING tli INSULATED — YES OR NO ^yE S
TYPE OF WALL X INSULATION .3 2 ROOF OR CEILING — X INSULATION
AVG. SYSTEM WATER TEMP. l4 U B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE a FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
Ro M slzE MINDOWI AREA - SQUARE FEET T.U. •.T.U. i H DISTRIBUTION INSTALLEDAMCOOORSVOLUMMTOTALTOTAL
tCORRECTEDNOM REGISTER
L w N AND
OROSS GLA" N[T MALL CEILING FLOOR CU. A
TEMP.
F t F II.
TY[AND SIZE FAD. OR LEADER
1z[ < MALL .'CtG INFILT.1
OIFF. F .
a. 20. FT. RR[! AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
18. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. -T— F*-,— F)— r
DATE G SIGNATUR2 OF APPLICANT
f
BURNH Alva CORPORATION
Heating & Cooling Division - Irvington, N.Y.
1=D=R CALCULATION SHEET 1503 copyright 1965 by th Institute of Boil«and Radiator Manufacturers, 393 Ser nth A.•o., "w York,N.Y. ID901
w11ER ADDRESS/'l4 f_i A)-,(x? ',% ' ' /`: "" DESIGN TEMPERATURE DIFFERENCE F. DATE 3 P-a srl
COL A COL.6 COL. C COL. D COL. E COL. P COL. G
1 ROOM ROOM
L4 IVilt.' T TOTALS Rs+MA.:Z^.%N
WOWW N L r N L Y N L M N L M N• L I M FROMLINE 12 SELECTED
2 ROOM DIMENSIONS. FT. F' O m
R LEN TH EXPOSED MALLS. FT.
V < M
d 2 C
4 WINDOW AND OUTSIDE DOOR AREA L J
STM STUN STUN STUN 6TUN IDsWALLCONSTRUCTION
s Type or GO A"
7 CSlLIN CONSTRUCTION F
0- 1 ®0 bo o
e
B ll=FLOOR CoTIWCTN Ift
tO D
S
Jam9
IOSCOLOPARTITION CONSTRUCTION
10 J ONE MALLIIMITM&LAss on Cxnajolt DOOR 1 ' 49
I 0/j
WOWALLS
smom
PTHREEWALLSORENTRANCEHALL ` Q
11 TOTAL BTUNAT7OFTEYP.DIfF [[RENC
J
1 iy, 4
12 ITOTAL BSUH AT DESIGN TEMP.OtF FERENCE Q mod r K
COL.A COL. S COL. N COL. 1 COL.J COL. K COL. L L
1 ROOM f J f .
O w b N L W N L W N L W H L M N L M " o_ -
2 ROOM DIMENsI NS. FT. uIV' TOTAL 5-UN TOTAL
E LENGTH EXPOSED WALLS. FT. CtL D mom"OF 6t11LDiNG RADIATION
Z AT SELECTED
4 WINDOW AND OUTSIDE DOOR AREA r DESIGN TEMP.
STUN STUN STUN STUN STUN
DIFFERENCE
3 MALL CONSTRUCTION a
Type r CA Ass
mow-Noon 700 YAO
7 CEILING.CONSTRUCTION INCREASE BATHROOM
0 4094 TOTAL 20%
G FLOOR CONSTRUCTION 1
d
R COLD PARTITI N CONSTRUCTION 1 FOR CONCRETE FLOOR OP
GROUNDOR FILL AT GRAD!
LEVEL.USE LINEAR FEET10JONEw/1LL(wITl1 SLAB OR 91ZT[RIOR DOOR) (y,. w•--*• P _F EXPOSED EDGE
TWO MA L LS T+'? fs
TIREEWALLS OR ENTRANCE HALL' P.
11 TOTAL BTUHAT7OF TEMP.DOF ERENCE• drj,W
12 TOTAL 13TUN AT DESI N TEMP.DIFFERENCE
N enou Prne
L.
Building
SPECTIONS:APPLICATION FOR BUILDING PERMIT -
Plumbing
HVAC Date:
Sprinkler
116 NATSISKY FARM ROA
Electric Estimated Cost s D6, o^b
Zoning Permit Fee$l0
Affidavit NO.
22244
Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS.
Total Fees
a29
Fire Dept.TYPE OR PRINT ONLY
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: I (Additional Cost) _
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location OS Lot No. Side of Street Zone A36
Applicant if d A 9 5 L /G X r Tel. #
Address_r i G NA T 5 i S APCa 5e) Zip c) 6 6:Z/ Lic.#
STREET CITY STATE
Owner Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit Ale J 3,,e f 91 )( f Z
City Water C,%` Well 0 Septic 0 Sewer
Use Group Construction Type
Approved by Date 4 2 BD1A 11/88
I hereby agree to conform to all the requirem nts of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lines and r uired distances from all other zones and is
located in a zone in which this building and its use is allowed.
c.-
Signed 14'o
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
REINO E. HYYPAA 6, ASSOCIATES
ClvIL ampau RS a LAw suRvE"Rs
GL.ASTO NBURY, CONK
312_
5M4
0
A.`f tiK AF NI., ROAD
49 \AI
100.
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St
PROP NOu. Zq
W 111
LD
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SO'/ S. F
1
7 S 050 44 49"E
r
3 c
O PEN SQAC,- OT F-R LAND OF
SECT101--,-1 L DARN H1L't._. ANC.
LOT LIMES FROM VA P ON FILE T1TLE0,
0m#4 SF%cE 5ueavi stop A-30 Zoe
PLOT RAN 5cv riow 4 MouWAAmVIEw
ESTATES SOUTH Wj"V50R,CDWW-"8y
Rewo E.H-mp #Assor-mms 5ckE
N40' 0ATE:4-9-8& MAP Wo-(80-e')-1 W
s"EaT 3 OF +3 s14EUs tom. 10-40-8o PREPARED FOR
DART HILL REALTY INC
CERTIFIED ---0B5SAKITIALLy CORRECT SOUTH WINDSOR, CONN.
SCALE C-40• PATE: 2-14P-87
58•5-tt2